Slack, Blake Rainie

Slack, Blake Rainie is an individual health care provider with primary practice located at 55 Fruit St, Founders 454 Massachusetts General Hospital, Boston MA 02114-2621. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Slack, Blake Rainie can be contacted via phone (617) 726-2033.

Contact Information

Primary practice address
55 Fruit St, Founders 454 Massachusetts General Hospital Boston MA 02114-2621
Phone: (617) 726-2033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X AC000650 Maryland
Other Service Providers / Midwife 176B00000X 283129 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN283129 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN283129 Massachusetts

Profile Details

NPI number 1003055591
LBN Legal business name Slack, Blake Rainie
Credentials CNM, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2009
Last updated Apr 28th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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